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MOHAMMAD MOSTAFA AMIN PHYSICIAN, PLLC

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Company Details

Name: MOHAMMAD MOSTAFA AMIN PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Jun 2006 (19 years ago)
Entity Number: 3373654
ZIP code: 11720
County: Suffolk
Place of Formation: New York
Address: 7 ROSE COURT, CENTEREACH, NY, United States, 11720

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 7 ROSE COURT, CENTEREACH, NY, United States, 11720

National Provider Identifier

NPI Number:
1457660094

Authorized Person:

Name:
MR. MOHAMMAD MOSTAFA AMIN I
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200604060082 2020-06-04 BIENNIAL STATEMENT 2020-06-01
180604008264 2018-06-04 BIENNIAL STATEMENT 2018-06-01
160606006649 2016-06-06 BIENNIAL STATEMENT 2016-06-01
140609006544 2014-06-09 BIENNIAL STATEMENT 2014-06-01
120716002716 2012-07-16 BIENNIAL STATEMENT 2012-06-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State